Evidence map›Paper›PMID 40823226›Full record

SynthesisFrontiers in public health2025

The impact of depression on mortality among older adult patients with hypertension: a systematic review and meta-analysis.

Ze Fang, Tao Huang, Qiongfang Zhang, Lili Shi, Rui Huang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ze FangDepartment of Geriatrics, Zhongjiang County People's Hospital, Deyang, China.
Tao HuangMedical Records Management Department, Zhongjiang County People's Hospital, Deyang, China.
Qiongfang ZhangHospital Infection Management Department, Zhongjiang County People's Hospital, Deyang, China.
Lili ShiDepartment of Geriatrics, Zhongjiang County People's Hospital, Deyang, China.
Rui HuangDepartment of Geriatrics, Zhongjiang County People's Hospital, Deyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Depression and hypertension frequently coexist in the older adult and may jointly contribute to increased mortality and cardiovascular risk. However, the extent to which depression independently affects these outcomes remains unclear. This systematic review and meta-analysis aimed to evaluate the association between depression and all-cause mortality in older adult patients with hypertension. Methods: We systematically searched PubMed, Embase, Cochrane Library, and Web of Science (2010-2024) for relevant cohort studies and randomized controlled trials. Pooled hazard ratios (HRs) were calculated using a random-effects model. Subgroup and sensitivity analyses were performed. The study protocol was registered in PROSPERO (CRD420251019904). Results: Thirteen studies including 483,560 participants showed that depression was associated with increased all-cause mortality (HR = 1.32, 95% CI: 1.23-1.41). The association was stronger among females (HR = 1.57) and in studies with short-term follow-up (<10 years, HR = 1.40). The findings were consistent across different depression assessment tools. Conclusion: Depression is independently associated with higher all-cause mortality in older adult hypertensive patients. Routine screening and management of depression-particularly among older women-may improve long-term outcomes. Further interventional studies are needed to evaluate the prognostic impact of depression treatment in this population. Systematic review registration: The systematic review was registered with PROSPERO (CRD420251019904).

Indexed as

DepressionHypertensionAgedAged, 80 and overFemaleHumansMaleRisk Factorsall-cause mortalitycardiovascular riskdepressionhypertensionmental health screeningmeta-analysisolder adult patientssystematic review

Identifiers

PMID40823226
PMCPMC12350467

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.